Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03672 | Date 03/01/2020 |
| Token No | SM/22-23/5231 21/09/2022 | Serial | 003 |
| Patient Name | Mr. MILITERY SINGH | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||